QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC.

STOCKTON, CA
NPI1275536872
Entity TypeOrganization
Authorized ContactKYLE WAYNE HERBOLD
Dermatologist
209-951-1133
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  a068815)
Enumeration Date2005-05-27
Last Update Date2020-08-22
Business Address
QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC.
4553 QUAIL LAKES DR
STOCKTON, CA 95207-5257
Phone number: 209-951-1133
Mailing Address
QUAIL LAKES DERMATOLOGY MEDICAL ASSOCIATES, INC.
4553 QUAIL LAKES DR
STOCKTON, CA 95207-5257
Phone number: 209-951-1133
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